scholarly journals Using domperidone to increase breast milk supply: a clinical practice survey of Australian neonatal units

2017 ◽  
Vol 47 (6) ◽  
pp. 426-430 ◽  
Author(s):  
Christine E. Gilmartin ◽  
Lisa H. Amir ◽  
Marene Ter ◽  
Luke E. Grzeskowiak
Nutrients ◽  
2019 ◽  
Vol 11 (5) ◽  
pp. 974 ◽  
Author(s):  
Luke E. Grzeskowiak ◽  
Mary E. Wlodek ◽  
Donna T. Geddes

Inadequate breast milk supply is a frequently reported reason for early discontinuation of breastfeeding and represents a critical opportunity for intervening to improve breastfeeding outcomes. For women who continue to experience insufficient milk supply despite the utilisation of non-pharmacological lactation support strategies, pharmacological intervention with medications used to augment lactation, commonly referred to as galactagogues, is common. Galactagogues exert their pharmacological effects through altering the complex hormonal milieu regulating lactation, particularly prolactin and oxytocin. This narrative review provides an appraisal of the existing evidence regarding the efficacy and safety of pharmaceutical treatments for lactation insufficiency to guide their use in clinical practice. The greatest body of evidence surrounds the use of domperidone, with studies demonstrating moderate short-term improvements in breast milk supply. Evidence regarding the efficacy and safety of metoclopramide is less robust, but given that it shares the same mechanism of action as domperidone it may represent a potential treatment alternative where domperidone is unsuitable. Data on remaining interventions such as oxytocin, prolactin and metformin is too limited to support their use in clinical practice. The review provides an overview of key evidence gaps and areas of future research, including the impacts of pharmaceutical galactagogues on breast milk composition and understanding factors contributing to individual treatment response to pharmaceutical galactagogues.


2021 ◽  
Vol 47 ◽  
pp. e1
Author(s):  
Paulo Ricardo Pinto Camelo ◽  
Rodrigo Ribeiro de Oliveira ◽  
Maria Fernanda Mendonça de Sousa ◽  
Luciana de Michelis Mendonça

2018 ◽  
Vol 30 (4) ◽  
pp. 581-587
Author(s):  
Carolien K. M. Vermeulen ◽  
Anne Lotte W. M. Coolen ◽  
Wilbert A. Spaans ◽  
Jan Paul W. R. Roovers ◽  
Marlies Y. Bongers

2019 ◽  
Vol 35 (10) ◽  
pp. S51-S52
Author(s):  
K. Bui ◽  
A. Matteau ◽  
B. Elbarouni ◽  
K. Bainey ◽  
C. Fordyce ◽  
...  

Author(s):  
Janet Medforth ◽  
Linda Ball ◽  
Angela Walker ◽  
Sue Battersby ◽  
Sarah Stables

This chapter considers all aspects of breastfeeding. The latest Baby Friendly Initiative standards are detailed, along with the advantages of, and contraindications to, breastfeeding. The constituents of breast milk and their role in infant nutrition are identified. Recently recognized changes in the structure of the lactating breasts are presented. There are detailed sections on the management and support of breastfeeding. Practices shown to be detrimental to successful breastfeeding are highlighted. Expression of breast milk and breastfeeding and returning to work are fully explained, as well as discontinuation of breastfeeding. Common problems encountered whilst breastfeeding are considered, including sore/cracked nipples, engorgement, blocked ducts, mastitis, breast refusal, insufficient milk supply, and Candida infection (thrush). Breastfeeding in special situations is also explored. The importance of correct nutrition and breastfeeding is reviewed.


2019 ◽  
Vol 7 (2) ◽  
pp. 143-148
Author(s):  
Dwi Yulinda

Background: Galactogogues is one of pharmaticeutical agents to support the initiation, continuation or augmentatiton of breast milk product. Natural product of galactogogues contenst such as palm fruits. So many puerpural mother prefer using natural galactogogues to help incerase their milk supply is in observing successive measurment of the infant’s naked weight. Nearly all infants lose weight for the first two to four days after birth. Postnatal weight loss on regaining birth weight are cliical parameters for monitoring an infat feeding status in the first week. Objective: This study aimed to assess the effect of date palm fruits on postpartum to infant weight Methods: Research was conducted on maternal postpartum which is divided into two groups. They are the control group; and the treatment group which was given dates palm fruit. Infant weight was measured at 7 day after birth. The analytical method used is Student T-test. Results: Date Palm fruits increased infant weight which was significantly on firstweek increase in the treatment group compared to the control group at p <0.05. Conclusion: Date Palm fruits is one of the alternatives that can be done to prevent infant lose weight. Keywords: Date palm fruit, postpartum, infant weight


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